INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING


Address: 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674
Phone: 6193878272

INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING (NPI# 1790390359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790390359
Entity Type Organization
Organization Name INSTITUTE OF BEHAVIORAL SCIENCES AND TECHNOLOGY FAMILY COUNSELING
Practice Address 9655 Granite Ridge Dr Ste Ofc2005
San Diego
CA 92123-2674
Practice Telephone 6193878272
Practice Fax Number 6194605372
Mailing Telephone 6193878272
Mailing Fax Number 6194605372
Enumeration Date 2020-09-10
Last Update Date 2020-09-28
Authorized Official Name PHILLIP E SALAS (PRESIDENT / CEO)
Authorized Official Telephone 6193878272
Authorized Official Credential LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health Agencies
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 9655 GRANITE RIDGE DR STE OFC2005
City SAN DIEGO
State CA
Zip Code 92123-2674

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730710567 Inspired Psychology Inc Clinic/Center 2727 Camino Del Rio S Ste 340, San Diego, CA 92108-3741 2020-01-30
1164065033 Preeti Presswala-shah, Marriage and Family Therapist, Inc Clinic/Center 6540 Lusk Blvd Ste C138a, San Diego, CA 92121-2767 2019-10-23
1932764164 Whole Person-psychotherapy Inc. Clinic/Center 5230 Carroll Canyon Rd Ste 100, San Diego, CA 92121-1779 2019-05-02
1972065241 Rogers Behavioral Health California, Inc Clinic/Center 17140 Bernardo Center Dr Ste 300, San Diego, CA 92128-2000 2019-04-04
1164915401 New Alternatives Inc. Clinic/Center 8755 Aero Dr Ste 306&320, San Diego, CA 92123-1776 2018-06-12
1396240339 A Mindful Healing Counseling Center Clinic/Center 2307 Fenton Pkwy # 107-239, San Diego, CA 92108-4746 2018-03-29
1386159374 Learning To Be Human Clinic/Center 835 5th Ave Ste 407, San Diego, CA 92101-6137 2017-12-12
1194186544 Telecare Corporation Clinic/Center 1660 Hotel Circle North, Suite 101, San Diego, CA 92108-2803 2016-03-14
1164671749 Family Health Centers of San Diego, Inc. Clinic/Center 2130 National Ave, San Diego, CA 92113-2209 2008-09-18
1710069281 Lds Family Services Clinic/Center 5675 Ruffin Road, Suite 325, San Diego, CA 92123-1391 2006-10-20
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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